Premier Family Eye Care, PC

NPI #1699919852 in Custer, South Dakota

Provider Information

NPI Number: 1699919852
Entity Type: Organization
Organization Name: Premier Family Eye Care, PC
Primary Specialty: Optometrist
Enumeration Date: Apr 30, 2009
Last Updated: Jun 29, 2010

Practice Location

Address: 322 MOUNT RUSHMORE RD
Address 2: SUITE 120
City: Custer
State: South Dakota
ZIP Code: 57730-1936
Phone: (605) 673-2716

Authorized Official

Name: DR. NATHAN WIEDERHOLT, O.D.
Title: OWNER
Phone: (605) 673-2716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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